Agustin Rangel Jr.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ASW68759 Issued in CA

Practice address

204 Hampton Dr
Venice, CA 90291

Phone

(310) 396-6468

NPI assigned

Apr 26, 2016

Last updated

Jan 2, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1598110645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 ELM VISTA DR APT A6",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902425320",
            "telephone_number": "323-490-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 HAMPTON DR",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "90291",
            "telephone_number": "310-396-6468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Hampton Dr",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "CA",
            "postal_code": "90291",
            "country_code": "US",
            "telephone_number": "310-396-6468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANGEL",
        "first_name": "AGUSTIN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-26",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW68759",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW68759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bannupriya Ramachandran
• Arleen Ramirez
• Christian Alejandro Ramirez
• Edward Michael Ramirez Jr.
• Gerardo Ramirez
• Brigid Rasmussen
• Daniel Ravanshenas, LMFT
• Mia Ray
• Joseph Recsnik, L.AC
• Resonance Relational Recovery Family Therapy PC

• Mental Health Counselor in Venice, CA
• Providers in Venice, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.